Post-COVID mucormycosis osteomyelitis and its imaging manifestations in the North of Iran: case series

Motevasseli, Safa; Nazarpour, Ali; Kajan, Zahra Dalili; Yousefi, Zahra; Khosravifard, Negar; Kashi, Faezeh; Roudbari, Niousha

doi:10.1007/s11282-022-00650-x

Cited by 3 publications

(2 citation statements)

References 22 publications

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“…The findings of our study correlate with Motevasseli S. et al, Sharma S. et al; who also reported that intra-orbital involvement is common while the intra-cranial involvement is rare. 8 , 26 , In the study by Sen M. et al intra-cranial involvement was reported in 16% rhino-orbital mucormycosis cases. 12 As the present study was done on patients reporting to a dental setup, cranial involvement was less represented.…”

Section: Discussionmentioning

confidence: 96%

“… 7 Owing to its high resolution, CBCT may be reserved for accurate visualization of slight osseous and trabecular changes in the maxillary alveolus and adjacent regions that are likely to be missed on soft tissue algorithm of CT and MRI. 8 Microbiological and/or histopathological analysis of tissues taken from various lesions can be used to provide a definitive diagnosis. 7 …”

Section: Introductionmentioning

confidence: 99%

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Evaluation of risk factors, clinico-radiographic presentations of COVID-associated mucormycosis in the maxillofacial region reporting to a tertiary care dental facility

Agarwal¹,

Gupta²,

Singh³

et al. 2023

Journal of Oral Biology and Craniofacial Research

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Section: Discussionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

Evaluation of risk factors, clinico-radiographic presentations of COVID-associated mucormycosis in the maxillofacial region reporting to a tertiary care dental facility

Agarwal¹,

Gupta²,

Singh³

et al. 2023

Journal of Oral Biology and Craniofacial Research

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Impact of COVID-19 Disease on the Development of Osteomyelitis of Jaws: A Systematic Review

Vardas,

Adamo,

Canfora

et al. 2024

JCM

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Background/Objectives: Osteomyelitis is characterized by an inflammatory process affecting both bone and bone marrow, leading to cell death and the formation of bone sequestrum. Recent literature from the past five years has documented instances of osteomyelitis following infections of SARS-CoV-2. This systematic review explores the link between osteomyelitis of the jaw (OMJ) and COVID-19 infections. Methods: This review adhered to the PRISMA guidelines, systematically analyzing literature from 2020 to 2024 sourced from databases including Medline, Embase, Scopus, and Web of Science. PROSPERO ID: CRD42024526257. Results: The review selected 42 articles, detailing 201 cases of osteomyelitis of the jaw related to COVID-19 (COMJ). The demographic breakdown included 195 male (74.4%) and 67 female patients (25.6%), with a median age of 52.7 years, ranging from 24 to 71 years. A significant portion of COMJ patients (41.5%) were hospitalized due to COVID-19, and 58.5% received corticosteroid therapy. Diabetes mellitus was a common comorbidity among COMJ patients (65.1%). Most cases involved maxilla (182 cases; 90.5%), with nearly half showing sinus involvement (49.4%). The mandible was affected in 19 cases (9.5%). Mucormycosis and aspergillosis emerged as the predominant fungal infections, identified in 103 (51.2%) and 50 (24.9%) cases, respectively. Conclusions: Individuals with pre-existing health conditions such as diabetes mellitus who have been treated for COVID-19 are at an increased risk of developing OMJ, particularly maxillary fungal osteomyelitis. COMJ poses a significant diagnostic and therapeutic challenge for dental and maxillofacial professionals, who are often the first to encounter these cases.

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Unravelling the Complexity of Mucormycosis-A Rare Case Report

Deenadayalan,

Pandyan,

Satheesh

et al. 2024

Annals of Maxillofacial Surgery

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Rationale: Mucormycosis is a rare, life-threatening, invasive fungal infection often referred to as black fungus. It has gained significant attention due to its increasing incidence during the coronavirus pandemic of 2019. Patient Concern: An 8-month-old child, whose identity is being withheld, arrived at our clinic with her parents with the chief complaint of swelling in the upper lip and cheek. Diagnosis: Various laboratory procedures, including blood cultures and imaging scans were performed to determine the presence of mucormycosis. Treatment: Under general anaesthesia, decortication and resection was done surgically, followed by an intraoral elastomeric impression made over the resected region. Soft silicone splints as oral seals for the suckling reflex were made postoperatively within a week. Immediate post-operative therapeutic low-level laser therapy was done. Outcome: Wound healing has been achieved. Take-away Lessons: Multidisciplinary intervention provides the best outcomes for the successful treatment and rehabilitation of paediatric patients with mucormycosis of the facial region.

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Post-COVID mucormycosis osteomyelitis and its imaging manifestations in the North of Iran: case series

Cited by 3 publications

References 22 publications

Evaluation of risk factors, clinico-radiographic presentations of COVID-associated mucormycosis in the maxillofacial region reporting to a tertiary care dental facility

Evaluation of risk factors, clinico-radiographic presentations of COVID-associated mucormycosis in the maxillofacial region reporting to a tertiary care dental facility

Impact of COVID-19 Disease on the Development of Osteomyelitis of Jaws: A Systematic Review

Unravelling the Complexity of Mucormycosis-A Rare Case Report

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